Transition of Childhood Cancer Survivors into Adult Health Care: A Perspective from Adult Care.

IF 1.2 4区医学 Q4 ONCOLOGY

Journal of adolescent and young adult oncology Pub Date : 2026-06-01 Epub Date: 2025-09-03 DOI:10.1177/21565333251372457

Tomoko Katsui Taniyama, Akiko Higuchi, Midori Kadowaki, Shinji Mochizuki, Hideko Uryu, Takeshi Inagaki, Hajime Oishi, Miyuki Sadatsuki, Akiyo Tanabe, Makiko Hashimoto, Shuji Kubota, Daisuke Katagiri, Chikako Kiyotani, Kimikazu Matsumoto, Chikako Shimizu

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引用次数: 0

Abstract

Purpose: The number of long-term childhood cancer survivors (CCSs) has been increasing, and the importance of transitioning from pediatric to adult care has been advocated. This study aimed to describe the health problems of adult CCSs from adult-care perspectives.

Methods: We conducted a chart review of adult CCSs aged ≥18 years who visited a transition clinic in adult care between June 2019 and March 2024.

Results: The study included 25 CCSs, with a median follow-up period of 14 months. The median number of medical departments requiring regular clinic visits was three (range 1-7). Among the participants, 15 (60%) had at least one severe health problem (grade 3 or higher). Notably, 45% (5 of 11) of participants with cardiovascular disease and 64% (9 of 14) of those with bone mineral density (BMD) deficiency were diagnosed after transition. During the follow-up period, 13 CCSs were hospitalized in the adult ward. Additionally, 52% (13 of 25) of the CCSs requested psychosocial intervention. Five CCSs who had health problems such as pituitary insufficiency, hearing loss, and visual impairment needed ongoing support from social workers.

Conclusion: Adult CCSs present with multiple health problems and risks. Because the health care system is different between adult care and pediatric care, comprehensive re-evaluation of health problems and care optimization from the adult-care perspective is important for the successful transition of CCSs to adult care.

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儿童癌症幸存者向成人医疗保健的转变：成人护理的视角。

目的：长期儿童癌症幸存者（CCSs）的数量一直在增加，从儿科到成人护理过渡的重要性已经被提倡。本研究旨在从成人照护的角度描述成人CCSs的健康问题。方法：我们对2019年6月至2024年3月期间在成人护理过渡诊所就诊的年龄≥18岁的成人CCSs进行了图表回顾。结果：本研究纳入25例CCSs，中位随访期为14个月。需要定期就诊的医疗部门中位数为3个（范围1-7个）。在参与者中，15人（60%）至少有一个严重的健康问题（3级或更高）。值得注意的是，45%（5 / 11）的心血管疾病患者和64%（9 / 14）的骨密度（BMD）缺乏症患者在转化后被诊断出来。在随访期间，13名CCSs在成人病房住院。此外，52%（25人中有13人）的CCSs要求社会心理干预。5名患有垂体功能不全、听力损失和视力障碍等健康问题的CCSs需要社会工作者的持续支持。结论：成人CCSs存在多种健康问题和风险。由于成人保健和儿科保健的卫生保健系统不同，从成人保健角度全面重新评估健康问题和护理优化对于CCSs向成人保健的成功过渡至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of adolescent and young adult oncology ONCOLOGY-

CiteScore

3.70

自引率

15.00%

发文量

114

期刊介绍： Journal of Adolescent and Young Adult Oncology (JAYAO) breaks new ground as the first cancer journal dedicated to all aspects of adolescent and young adult (AYA)-aged cancer patients and survivors. JAYAO is the only central forum for peer-reviewed articles, reviews, and research in the field, bringing together all AYA oncology stakeholders and professionals across disciplines, including clinicians, researchers, psychosocial and supportive care providers, and pediatric and adult cancer institutions.